Scribes in an Ambulatory Urology Practice: Patient and Physician Satisfaction
Scribes in an Ambulatory Urology Practice: Patient and Physician Satisfaction
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DOI：
10.1016/j.juro.2010.03.040
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发表时间：
2010-07-01
影响因子：
6.6
通讯作者：
Kogan, Barry A.
中科院分区：
文献类型：
--
作者：
Koshy, Simi;Feustel, Paul J.;Kogan, Barry A.
目的：电子病历在临床诊疗过程中的使用越来越多，不仅带来了好处，也带来了障碍，可能会影响医患关系，增加医生的工作负担。我们评估了在学术泌尿学项目中使用电子病历抄写员是否会改善这些问题。材料和方法：我们随机将电子病历抄写员分配到5名学术泌尿科医生的办公时间，并使用调查评估患者和医生的接受度和满意度。患者接受电子病历抄写员，满意率很高（93% vs 87%，无抄写员，p = 0.36）。患者在抄写员在场时可以舒适地披露泌尿科信息。当有书记员在场时，医生对办公时间的满意度明显提高（69%比19%，p
Purpose: The increasing use of electronic medical records during the clinical encounter brings not only benefits but also barriers that may affect the doctor-patient relationship and increase the work burden of the physician. We evaluated whether the use of an electronic medical record scribe in an academic urology program would ameliorate these problems.Materials and Methods: We randomly assigned electronic medical record scribes to the office hours of 5 academic urologists, and using surveys we evaluated patient and physician acceptance and satisfaction.Results: Patients were accepting of an electronic medical record scribe and satisfaction rates were high (93% vs 87% in the absence of a scribe, p = 0.36). Patients were comfortable disclosing urological information in the presence of the scribe. Physicians were dramatically more satisfied with office hours when a scribe was present (69% vs 19%, p